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DR. LISA YUN XU M.D.
NPI 1013118256
Dermatology in Newport Beach, CA

Active since May 29, 2007PECOS EnrolledAccepts Medicare Assignment
5010 CAMPUS DR STE 120, NEWPORT BEACH, CA 92660(949) 773-4784 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Lisa Yun Xu M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA YUN XU M.D. (NPI 1013118256) is an individual dermatology provider in Newport Beach, California, licensed in Maryland (D75158) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (2006).

NPPES Registry Identity

NPI1013118256
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. LISA YUN XUCredential: M.D.
Location Address5010 CAMPUS DR STE 120Newport Beach, CA 92660-2120
Mailing Address5010 Campus Dr Ste 120Newport Beach, CA 92660-2120
Phone(949) 773-4784
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2006
Enumeration DateMay 29, 2007
Last NPPES UpdateOctober 19, 2023
NPPES CertifiedOctober 19, 2023
✔ NPI 1013118256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in MD · D75158✔ Licensed in IN · 01068724A
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
5010 CAMPUS DR STE 120, Newport Beach, CA 92660
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Other Identifiers 1

Medicaid061198100MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lisa Yun Xu M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507059565
PECOS Enrollment IDI20171003007354
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Lisa Xu reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Dermatology, Inc
6.5 mi
Dermatology
1125 E 17TH ST, W-248
Santa Ana, CA 92701
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1386629905 (714) 547-5151
United Medical Doctors
40 mi
Gastroenterology
28078 BAXTER RD STE 530
Murrieta, CA 92563
  • Reassigned Medicare billing, California enrollment
  • 240 clinicians in this Medicare group
NPI 1770559981 (951) 566-5229
MD Solutions Medical Corp
49 mi
Dermatology
15477 VENTURA BLVD., SUITE 100
Sherman Oaks, CA 91403
  • Reassigned Medicare billing, California enrollment
  • 36 clinicians in this Medicare group
NPI 1902837735 (818) 906-6900
Daniel Gene Kolder, M.D. A California Professional Corporation
78 mi
Plastic Surgery
2460 N PONDEROSA DR, SUITE A-117
Camarillo, CA 93010
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Daniel Gene Kolder MD A California Professional Corporation
  • 3 clinicians in this Medicare group
NPI 1598006652 (805) 484-2855

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
22 services19 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
22 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Xu's NPI number?

The NPI number for Lisa Xu is 1013118256. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Where is Lisa Xu located?

Lisa Xu practices at 5010 Campus Dr Ste 120, Newport Beach, CA 92660. The listed phone number is (949) 773-4784.

What is Lisa Xu's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Lisa Xu enrolled in Medicare?

Yes. Lisa Xu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lisa Xu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Xu reassigns Medicare benefits to 4 organizations: Southern California Dermatology, Inc (Santa Ana, CA), United Medical Doctors (Murrieta, CA), MD Solutions Medical Corp (Sherman Oaks, CA) and Daniel Gene Kolder, M.D. A California Professional Corporation (Camarillo, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Xu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Xu was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.